Student Employment Application

Personal Information
* Full Legal Name * Full Preferred Name
* Home Address
* City *
* Zip/Postal Code * Country
* Home Phone Cell Phone
* Email
School Address
City
Zip/Postal Code School Phone
* Date available to start work (mm/dd/yyyy)
* Desired number of work hours per week
What are some of your hobbies?

Educational Information
* Academy/High School Attended WWU Student ID#
* Major Minor
Personal References
Three complete personal references are required. Exclude relatives and former employers listed elsewhere on this application. Persons listed may be contacted for references.
* Name
* Address
* City
* Zip/Postal Code * Phone
* Country
* Occupation
* Name
* Address
* City
* Zip/Postal Code * Phone
* Country
* Occupation
* Name
* Address
* City
* Zip/Postal Code * Phone
* Country
* Occupation
Employment Record
List your previous places of employment, beginning with the most recent. Employers listed may be contacted for references.
* Place of Employment
* Address
* City State
* Zip/Postal Code * Phone
* Country * Type of Work
* Supervisor's Name
* Start Date * End Date
* Reason for leaving the place of employment above:
* Place of Employment
* Address
* City State
* Zip/Postal Code * Phone
* Country * Type of Work
* Supervisor's Name
* Start Date * End Date
* Reason for leaving the place of employment above:
* Place of Employment
* Address
* City State
* Zip/Postal Code * Phone
* Country * Type of Work
* Supervisor's Name
* Start Date * End Date
* Reason for leaving the place of employment above:
Background Information
* If yes, describe in full, including dates, criminal offense(s), location (city and state) and disposition.

* Are you currently on probation for any criminal offense?
* If yes, describe in full, including criminal offense(s), current status, expected date of completion, and the name(s) of the probation or parole officer or other person(s) to whom you report.

Skills and Experience
Please check all areas where you have experience.
Office Skills (check all that apply)
*In what other way(s) are you computer literate?
*Keyboarding WPM:
Maintenance Skills (check all that apply)
Other Skills (check all that apply)
*Foreign language(s) you are fluent in:
List any other pertinent skills, classes, or experience.

List your top three preferences for employment.
* 1st Choice
* 2nd Choice
* 3rd Choice
Your Word
*     By typing in my name and clicking on the “Submit” button below, I acknowledge my electronic signature and agree that all information provided to Walla Walla University on this application is true, complete and correct to the best of my knowledge. I understand that this employment application is not an employment offer from the university and that the employment relationship between the university and the employee is based upon mutual consent for an indefinite time period and may be terminated by either the employee or the university at any time without notice or requirement of cause.
    I hereby give permission for the information contained on this form to be given verbally or in writing to prospective employers. I also authorize prospective employers to contact the persons whose names are listed on this application regarding my personal and employment history. If offered employment with the university, I understand that I must comply with all of the university’s policies, rules and procedures. I also understand that, if hired, I will be expected to respect the beliefs of the Seventh-day Adventist Church in duties related to my position.     Sat Apr 19, 2014 9:16 pm
* This form will be routed to Student Employment.
Name:
Email:
  * Response required